Whalio Doctors

NPI 1518902469

Omprakash N. Sureka, MD

Practitioner Physical Medicine & Rehabilitation Physician Peoria, IL

Practice location

Address
5431 W. Stonebridge CT., Peoria, IL 61615-2932
Phone
(309) 691-8149
Mailing address
5431 W Stonebridge CT, Peoria, IL 61615-2268

Registered specialties

Physical Medicine & Rehabilitation Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 036-058320 (IL)

Registry record

NPI
1518902469
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Jun 2006
Record last updated
25 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.